NPI | 1699865873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 210951) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 210951) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2017-10-16 |